Laboratory Registration Form of ShanghaiTech University

Laboratory Name

Year of Establishment

Location

        Room            Building                School: SLST

Name of PI

Cell Phone No.  

Email

Name of Laboratory Safety Officer

Cell Phone No.

Email

Laboratory Category

Research Group     Teaching Platform    Research Platform   Others _________________

Laboratory Risk

Factors  

Hazardous Chemicals     High Temperature    Low Temperature      Pressure Vessels    Radiation  Pathogenic Bacteria  

 Others _________________

Toxicity       Laser    Dust    Cleanroom        Others_______________

Laboratory Introduction: research direction and tasks, work environment management and personal protective measures, etc. (about 300 words)

Signature of the Head of Laboratory：

Date：

Comments of the School:

Signature of Laboratory Supervisor of School/Institute/Center:

（Seal）            Date：

Comments of EHS Office: